| NPI | 1003641069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 309379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 290352) |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2026-07-16 |